Active NPI
Heather S Hall, PA-C
- Physician Assistant
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0003281
- Practice address
- 1141 Opal CT
Hagerstown, MD 21740-5976 - Phone
- (301) 791-6666
- NPI assigned
- Jul 17, 2006
- Last updated
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0003281 | MD | Primary |
Addresses
Primary practice location
1141 Opal CT
Hagerstown, MD 21740-5976
Mailing address
1141 Opal CT
Hagerstown, MD 21740-5976
Phone (301) 791-6666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926580505 | Medicaid | MD | |
| 926580509 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003281 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Mir Neurology Center PA | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Opal Court Pediatrics, P.a. | Past | Accepting new patients |
Locations
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
3430 Worthington Blvd
Ste 103
Frederick, MD 21704
Phone (240) 215-6900
610 Solarex Ct
#2
Frederick, MD 21703
610 Solarex Ct
Fl Second
Frederick, MD 21703
11110 Medical Campus Rd
Ste 151
Hagerstown, MD 21742
Phone (301) 722-3777
1141 Opal Ct
Ste A
Hagerstown, MD 21740
Phone (301) 791-6666
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
Interoperability endpoints
- heather.hall.1@17459.direct.athenahealth.com
- heatherhall@mncmd.allscriptsdirect.net
- https://api.platform.athenahealth.com/17459/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Hagerstown, MD
- NPI 1518905439
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1093251209
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Pediatrics Physician
- Hagerstown, MD
- NPI 1649235888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1801814116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 OPAL CT",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405976",
"telephone_number": "301-791-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 OPAL CT",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405976",
"telephone_number": "301-791-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "HEATHER",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0003281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926580505",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926580509",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.